Adverse Events Associated with Sedatives, Analgesics, and Other Drugs That Provide Patient Comfort in the Intensive Care Unit

 

Richard R. Riker, and Gilles L. Fraser

 

 

Pharmacotherapy 2005;25

 

 

Since the 2002 publication of multidisciplinary clinical practice guidelines has been reported for intensive care unit (ICU) sedation and analgesia and additional information regarding adverse drug events. Our understanding of the risks associated with these sedative and analgesic agents promises to improve outcomes helping clinicians identify and respond to therapeutic misadventures sooner. This review focuses on many issues, including the potentially fatal consequences associated with the propofol infusion syndrome, the evolving understanding of propylene glycol intoxication associated with parenteral lorazepam, new datas involving high-dose and longterm dexmedetomidine therapy, haloperidol and methadone-related prolongation of QTc intervals on the electrocardiogram, adverse events associated with atypical antipsychotics and the potential for nonsteroidal antiinflammatory drugs to interfere with bone healing.

 

Fulltext

Stiamo assistendo in Terapia Intensiva ad una profonda sfida culturale: pazienti svegli, parenti presenti, staff consapevole dei limiti e delle possibilità. Non è facile "cambiare testa", ma è il primo passo per stare meglio. Tutti.

Link veloci

Gestire il dolore

ico-flowchartdoloreFlowchart dolore
ico-vnrVNR
ico-bpsBPS

Gestire la sedazione

ico-flowchart-sedaz-agitFlowchart sedaz/agitaz
ico-rassRASS

Gestire il delirium

ico-flowchart-deliriumFlowchart Delirium
ico-manuale-cam-icuManuale CAM-ICU
ico-schedalavoro-cam-icuScheda di lavoro CAM-ICU
ico-icdscICDSC

 

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